Senior Claims Specialist

ICW Group • San Diego, CA

2d • Hybrid

About The Position

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our internal and external communities better everyday! Learn more about why you want to be here! PURPOSE OF THE JOB The Senior Claims Specialist is responsible for managing the most complex, catastrophic commercial liability claims with a focus on providing the highest level of service for policyholders and ICW Group to independently bring claims to an equitable conclusion within Company standards and best practice guidelines. The Senior Claims Specialist works with a sense of urgency, understands insurance coverage concepts, and navigates the legal system with the support of counsel to drive strategic outcomes.

Requirements

• Bachelor's degree highly preferred (or equivalent education and experience).
• 10+ years of related claims experience.
• 10+ years’ complex liability claims experience required.
• Commercial Liability & Commercial Property: Various state adjuster licenses are required. Licenses and certifications may be acquired within a specified timeframe after hire.
• Expert working knowledge in processing highly complex claims.
• Ability to apply technical knowledge and human relations skills to ensure fair and prompt management of cases.
• Thorough understanding of laws and jurisdictional restraints to manage injuries.
• Excellent verbal and written communication skills, time management, attention to detail and organizational skills required.
• Ability to read, analyze, and interpret technical journals, financial reports, and legal documents.
• Ability to write reports, business correspondence, and procedure manuals.
• Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.
• Ability to speak effectively before groups of customers or employees, and effectively present information to management.
• Ability to define problems, collect data, establish facts, and draw valid conclusions.
• Advanced working knowledge of Microsoft Office Suite: Outlook, Word, Excel and PowerPoint.
• Must be adept at learning new technology and embrace change.
• Facilitates and leads meetings across a team of claims professionals for assigned projects.

Responsibilities

• Manages and reserves all aspects of the most complex claims inventory to an equitable conclusion.
• Effectively communicates with policyholders, agents, attorneys, and witnesses to gather information and provide the highest possible level of customer service.
• Promptly investigates claims to determine exposure, works with appropriate experts and makes strategic recommendations.
• Utilizes appropriate resolution tactics (e.g., mediation, negotiation, denial, litigation or offer) to proactively drive outstanding results.
• Operates within the requirements of related state and/or the governing entity rules and regulations as well as internal claims handling policies and procedures.
• Directs defense counsel throughout the litigation process in line with ICW litigation guidelines while monitoring legal fees and costs.
• Analyzes new and transferred losses and designs a plan of action in the management of the claim.
• Consistently provides exceptional customer service.
• Effectively collaborates with team members from various departments for project and process discussions.
• Acts as a Subject Matter Expert for the department and provides expertise to internal and/or external stakeholders.
• Makes recommendations for streamlining processes and adopting the industry’s best practices.
• Ensures accuracy of data in claims system for compliance with applicable regulatory reporting.
• Provides training and knowledge transfer across the organization.
• Continuously seeks to improve technical skills by attending job related training and tracking current case law.
• Acts as a mentor and provides training for less experienced team members.
• Manages the litigation process, strategizes with defense attorney, facilitates negotiation of claim settlements ensuring suitable and economical claims resolution including attending depositions and hearings.
• Handles highly complex claims in multiple jurisdictions and/or nationwide.
• Escalates claim summaries and makes strategic recommendations for approval.
• Frontloads investigations and moves with urgency by gathering information quickly to assess risk accurately.
• Builds rapport with opposing counsel and claimants.
• Attends depositions, hearings, and settlement conferences.
• Prioritizes early resolution options for every claim and attends resolution proceedings.
• Drafts coverage letters and correspondence with minimal to no guidance for management review.
• Researches and analyzes policy language, drafts correspondence with minimal to no guidance for management review.
• Provides advice to underwriters as necessary based on inspections, including any preexisting damages noted.
• Works to understand and learn the nuances of reinsurance.
• Maintains current knowledge of the Department of Insurance rules and requirements.

Benefits

• We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match
• Bonus potential for all positions
• Paid Time Off
• Paid holidays throughout the calendar year
• Want to continue learning? We’ll support you 100%

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees